Organization Active NPI

RXM Pharmacy Inc

  • Community/Retail Pharmacy
  • Tinley Park, IL
National Provider Identifier
1114009909
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054009533 Issued in IL
Legal business name
RXM PHARMACY INC
Practice address
7545 W 159TH St
Tinley Park, IL 60477-9305
Phone
(708) 532-7711
Fax
(708) 532-1524
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Rozewicki, RPH
Title
VP
Phone
(708) 532-7711

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054009533 IL Primary

Addresses

Primary practice location

7545 W 159TH St
Tinley Park, IL 60477-9305

Mailing address

7545 W 159TH St
Tinley Park, IL 60477-9305
Phone (708) 532-7711

Other identifiers 1

IdentifierTypeStateIssuer
1456640OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • BREMENTOWNE DRUGS INC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1114009909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 W 159TH ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604779305",
            "telephone_number": "708-532-7711",
            "fax_number": "708-532-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 W 159TH ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604779305",
            "telephone_number": "708-532-7711",
            "fax_number": "708-532-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "ROZEWICKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "708-532-7711",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054009533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1456640",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BREMENTOWNE DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.